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Organization
UNIVERSAL SUPPORTIVE CARE
Active
Organization
UNIVERSAL SUPPORTIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK B BROWN (CEO)
(901) 729-6237
Entity
Organization
Contact information
Practice address
3592 KNIGHT ARNOLD RD STE 322, MEMPHIS, TN 38118-2709
(901) 729-6237
(901) 672-8520
Mailing address
1840 PYRAMID PL STE 322, MEMPHIS, TN 38132-1703
(901) 729-6237
(901) 672-8520
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000026916
STATE LICENSE
TN
Enumeration date
08/18/2020
Last updated
03/07/2022
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